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If you know even a little about Botox, you probably know that Botox Cosmetic injections are made from botulinum toxin A. While this therapeutic muscle-relaxing agent has been approved by the FDA for several different uses and has been injected successfully and without incident in tens of millions of procedures, words like “botulism” and “toxin” don’t exactly scream “safe.” But the reality is that Botox injections in the forehead or elsewhere are extraordinarily safe when administered by a trained medical professional.

Massive Study Confirms Botox Safety

In 2014, the first large scale study of Botox and other neurotoxins used in dermatological and cosmetic procedures was published in the medical journal JAMA Dermatology. Conducted by Northwestern University researchers, the study reviewed over 20,000 separate procedures. Only 48 adverse events were reported; an astonishingly low 0.24% rate of complications. Even the study’s lead author, Dr. Murad Alam, was shocked by the results: “We strongly suspected the rates were going to be low, but we were pleasantly surprised that they were as low as they were.”

The incident rates for Botox specifically were even lower: researchers found that only 1 out of every 3,333 Botox treatments resulted in some sort of negative side effect such as bruising or swelling. As the study notes, even these effects were “minor and rapidly remitting, and serious adverse events were not seen.”

Treatment By a Trained Medical Professional is Key to Botox Safety

The very last sentence of the Northwestern study makes a central point about Botox safety: “Patients seeking such procedures can be reassured that, at least in the hands of trained board-certified dermatologists, they pose minimal risk.”

The risks of Botox injections can increase dramatically if performed by someone lacking the necessary training and experience to correctly administer the treatment. Anyone considering Botox should look with extreme skepticism at storefronts or other places advertising Botox treatments if they don’t confirm that a board-certified physician is the one who will be giving you the injection.

Additionally, you may see botulinum toxin offered online. This is extraordinarily dangerous. Botox is a prescription medication that can be purchased only by licensed physicians. If the seller does not request proof of a medical license, the product is not what dermatologists use. Injecting such “black market Botox” yourself can cause serious complications. Long-term muscle paralysis, Bell’s palsy, and permanent eye damage have been reported. As with any medical procedure, treatment should be administered in a sterile, professional environment by an experienced, licensed professional.

Call Dr. Busso Today to Learn More About How Botox Can Help You

Board-certified Miami Aesthetic Dermatologist Dr. Mariano Busso is a leading expert in the field of injectable cosmetic medicine, including the use of Botox. He has personally administered thousands of Botox injections to satisfied patients.

An expert in all things skincare and aesthetics, Dr. Busso has coached physicians all over the country on his innovative techniques and quality of care. Call us today at 305-857-0144 to schedule your consultation and learn more about Botox.

Dermal fillers are injectable treatments that work by plumping facial features to counteract volume loss that is a natural part of aging and a primary cause of wrinkles.

Miami Aesthetic Dermatologist Dr. Mariano Busso offers a wide array of effective dermal filler treatments, including Radiesse. In fact, Dr. Busso was heavily involved in the development and evolution of Radiesse and has published numerous articles and given countless lectures on the uses of Radiesse in cosmetic and aesthetic dermatology.

What is Radiesse?

Approved by the FDA to reduce moderate-to-severe wrinkles, folds, and creases around the nose and mouth by stimulating the natural production of collagen in the skin, Radiesse is made of microspheres composed of calcium hydroxylapatite suspended within a water-based gel. It can be injected directly under the skin with no need for pre-testing.

While the cost of your treatment may vary based on your particular needs, such as how many syringes are required to achieve the desired result, $700 to $1000 per 1.5cc syringe is an average range for Radiesse treatment in the Miami area.

Does Radiesse have any side effects?

Radiesse can cause some mild and temporary side effects. The most common side effects are redness, bruising, or swelling. Additional side effects can include inflammation, small bumps, itching, pain, skin discoloration, scarring, and tenderness.

What kind of results can I expect from Radiesse?

Once injected, you should see the effects of Radiesse immediately as it adds fullness to your face and skin tissue begins to build. While the results will differ from patient to patient, clinical studies have shown that the effect of Radiesse should last for at least one year.

Call Dr. Busso to learn more about Radiesse.

Dr. Mariano Busso is named a “leader in the clinical research and development of Dermal Filler” by the American Academy of Dermatology. An expert in all things skincare and aesthetics, Dr. Busso has coached physicians all over the country on his innovative techniques and quality of care. Call us today at 305-857-0144 to schedule your consultation and learn more about Radiesse, dermal fillers, and all of the treatments offered by Dr. Busso.

When patients come into our offices to discuss addressing lines, wrinkles, and other facial imperfections, we are often asked, “What is the Best Kind of Botox?” An excellent question to be sure, but one that can’t easily be answered for two primary reasons: 1) every patient is different with unique issues which may make one treatment better than another, and 2) there is, in fact, only one kind of Botox.

Let’s explain that second point first.

“Botox” Is Just One In a Family of Similar Products

Have you used a “Kleenex” lately? Are you sure it wasn’t some other brand of facial tissue? Did you recently “google” something? Are you sure you weren’t using “Bing” or some other search engine? These are common examples of how we often use trademarked brand names to describe a generic product or service. Same goes for “Botox.” People often use that specific, brand-name facial restoration and muscle-relaxing agent to describe a whole family of similar products called injectable neuromodulators. There are two other brands of products in this family which we offer along with Botox itself: Dysport and Xeomin.

The reason folks use “Botox” as shorthand for these different products is because they all contain the same substance that the name “Botox” is shorthand for: Botulism Toxin A. While the formulations of Botox, Dysport and Xeomin differ slightly, they all work the same way by blocking the nerve muscles responsible for the repetitive actions that cause fine lines and wrinkles, smoothing them away to produce a younger and more refreshed appearance. We use these minimally invasive injections to reduce wrinkles in areas such as crows feet, between the eyes—glabella (aka the 11’s), smoker-lines, lip wrinkles, laugh lines, neck wrinkles, and many others.

Distinct But Effective

While these three products are all very similar in substance and effect, they do have a couple of important differences.

Xeomin is different from its cousins in that it contains no additives, which may decrease a patient’s immune reaction. If the immune system is not creating antibodies to fight it, the treatment will be much more successful.

Dysport can diffuse muscles one to three centimeters from the injection point, while Botox can only reach as far as one centimeter, allowing for results that reach farther with a single injection.

So, which “Botox” of these three products is the best? That is a question we can answer when we meet with you to learn more about you and the specific problem you want to address. Whether we decide on Botox, Xeomin, Dysport, or some other form of treatment, we personally tailor our treatment plan to each individual patient.

Call Dr. Busso Today to Schedule a Consultation

If you’d like to learn more about ways to improve your appearance and enhance your sense of self-esteem and well-being, book your consultation with Coconut Grove | Miami Aesthetic Dermatologist Dr. Busso today. Dr. Mariano Busso is a leader in the field of aesthetic dermatology, acting as both Senior Attending of Dermatology at Mercy Hospital in Miami and Voluntary Assistant Clinical Professor of Dermatology at the University of Miami. A widely published and highly acclaimed professional, Dr. Busso has the knowledge to pick the optimal course of treatment to ensure beautiful, long-lasting results.

Botox and dermal fillers are closely related cousins, both designed to rejuvenate your skin and give you a healthier, more youthful appearance. But these two injectable treatments are distinct in the problems they address, the way they work, and where they are applied.

Botox

Botox injections are the most commonly performed cosmetic procedure, used to reduce facial wrinkles through minimally invasive injections. Made from botulinum toxin A, Botox is a therapeutic muscle-relaxing agent approved by the FDA for several different uses. It can block the nerve muscles responsible for the repetitive actions that cause fine lines and wrinkles, smoothing them away to produce a younger and more refreshed appearance.

Botox treatments are usually focused on the forehead, the upper face, and around the eyes, but they can also address smoker-lines, lip wrinkles, laugh lines, neck wrinkles, and many other issues.

Dermal Fillers

While Botox treatments address lines, wrinkles, and other imperfections by targeting the muscles responsible for causing them, dermal fillers work by plumping facial features to counteract volume loss that is a natural part of aging and a primary cause of wrinkles.

Like Botox, dermal fillers are injected into the skin. Unlike Botox, dermal filler injections tend to address issues in the lower two-thirds of the face, plumping facial features such as the cheeks, lips, chin, and other areas.

The fillers typically remain in the skin for six to 18 months. They work by attracting water to the injection site and increasing collagen production at and around the treatment area. In combination with the filler itself, these effects increase the volume of the area under the skin, stretching the skin and thus reducing and fading wrinkles.

Given how and why Botox and dermal fillers are used, they are frequently used together, with each treatment targeting different issues. An aesthetic dermatologist can develop an optimal treatment protocol specifically tailored to achieve your goals using Botox and fillers separately or in conjunction with one another.

Dr. Mariano Busso is named a “leader in the clinical research and development of Dermal Filler” by the American Academy of Dermatology. An expert in all things skincare and aesthetics, Dr. Busso has coached physicians all over the country on his innovative techniques and quality of care. Call us today at 305-857-0144 to schedule your consultation. Together, we can help you put your best face forward.

Earlier this year, skin pharmaceutical company Galderma released a new version of its smash-hit line of hyaluronic filler Restylane. Restylane Defyne does just what its name implies – delivers youthful facial definition by plumping and filling deep-set creases along the nasolabial folds and marionette lines. Dr. Busso and his team are pleased to announce that Restylane Defyne is now part of our wide range of South Florida dermal filler services.

Like other dermal fillers, Restylane Defyne contains biocompatible hyaluronic acid, a naturally-occurring substance found in the human eye and joint fluid. Coupled with XpresHAn Technology™, this innovative gel allows for supreme elasticity and lasting support. The results are natural-looking, safe and tailored based on patient needs.

Studies show that Restylane Defyne offers a significant improvement to wrinkle severity for up to a year in the majority of subjects reviewed. Seventy-seven percent of Restylane Defyne patients saw at least 1-grade improvement on the Wrinkle Severity Rating Scale (WSRS) after only six weeks.¹

Restylane Defyne was recently approved by the Federal Drug Administration (FDA) for the treatment of nasolabial folds and laugh lines in patients over 21-years-old. Prior to being released to in the U.S., Restylane Defyne was approved in Europe in 2010 under the brand name Emervel®. To date, Restylane hyaluronic fillers have been used in over 30 million anti-wrinkle treatments worldwide.

To celebrate the next generation of hyaluronic fillers, Dr. Busso is offering a limited time introductory special on new Restylane Defyne in Miami. Between April 10 to April 14, each syringe is $150 off the normal price of $650.

Dr. Mariano Busso is named a “leader in the clinical research and development of Dermal Filler” by the American Academy of Dermatology. An expert in all things skincare and aesthetics, Dr. Busso has coached physicians all over the country on his innovative techniques and quality of care. Call us today at 305-857-0144 to schedule your consultation and put your best face forward this spring.

December officially marks party season, which means holiday makeup is out in full force. Between work parties and large family dinners – both filled with Instagram-worthy photo ops – showcasing an impressive and festive spin on your usual look is fun. Incorporating new color palettes and schemes this season is a must, right?

On the other hand, straining your skin with harsh ingredients could do more damage than good. You may look flawless the night of, but the next morning is met with dryness, breakouts and redness. Or, you fail to blend properly and suffer from embarrassingly obvious makeup. Either way, the results are anything but glamorous.

If you’re go-to look is as minimal as tinted moisturizer and a volumizing mascara, your skin could be in for a shock this month. To avoid any holiday makeup predicaments, take the following precautions to safely wear makeup when dolling up for the holidays:

Wash Your Face – Without Fail

Hitting the hay with a face full of holiday makeup may seem like the best thing to do after a boozy night, but it’s a hard-to-break habit you’ll seriously regret the following morning. Aside from a splitting headache and a dry mouth, last night’s antics topped off by sleeping with your makeup on could result in a pesky breakout. We recommend sticking to your full routine every night, including cleanser, eye makeup remover (or coconut oil), toner, serum, moisturizer and eye cream. If you must, however, at least keep makeup towelettes at your bedside. While these allow you to remove your foundation essentially half asleep, wipes don’t provide deep cleansing. And, they certainly don’t offer the anti-wrinkle properties from your professional skincare line. Use makeup wipes in case of “emergency” only.

Go Easy on the Lip Liner

Full lips are sexy. But, trying to fake a puffy pout by over lining your lips takes pro-level experience. Otherwise, going overboard with the lip liner can look obvious and sometimes awkward. Instead, enhance your lips with a striking red lipstick or add some shimmer to highlight your cupid’s bow. Gloss, while somewhat cumbersome, is another strategic product that makes lips appear softer and fuller. To get a sexier look to last, lip fillers are the go-to choice among beauty experts and celebrities. Juvederm is a safe injectable gel that provides natural-looking results. For questions and inquiries about Juvederm in Miami, schedule an appointment with Dr. Busso.

Contour and Highlight Naturally

With the endless mouthwatering treats and easy-to-down drinks throughout the holidays, slight weight gain is expected this time of year. Alcohol and sugar lead to bloat which sometimes displays itself directly on your face. Contouring for a sharper jaw line and a slimmer visage helps combat the unwanted side effects of holiday calories. Meanwhile, highlighting allows for a glowing, fresh look – effectively hiding the little sleep you actually got the night before. Remember, less is more. Oversculpting your face to look like a Kardashian/Jenner may backfire. Start with some simple bronzer and a matte highlighting cream to bring out your best look. Finish it off with a translucent powder to keep makeup in place all day – or night – long.

Don’t be scared to step outside of your comfort zone when applying holiday makeup. But, exercise caution when trying new products or ingredients that could trigger adverse side effects due to conditions like rosacea, adult acne or dryness. Finally, remember to give your skin a break occasionally and let it breathe. Your skin is the body’s largest organ and needs oxygen to thrive!

Do you fear the signs of aging are going to catch up with you too soon? With a little forethought, you can minimize pesky wrinkles and lines that creep up in your mid-20s and escalate well into adulthood. Wrinkle prevention is the best way to keep your face looking fresh, but adopting these practices after aging takes its toll provides drastic benefits as well.

How Do Wrinkles Form?

When we’re younger, the skin rejuvenates and springs back despite environmental toxins, dehydration and UV rays. But as we get older, the skin thins and loses its elasticity through general wear, becoming less resilient in fighting off outside environmental and lifestyle factors. Thus, wrinkles, creases and lines form – particularly on areas most often exposed to sunlight, such as the face. UV light in particular breaks down the collagen and elastin fibers underneath the skin’s surface that make up the connective tissue. Once the tissue is broken, skin flexibility deteriorates.

Wrinkle Prevention in Three Steps

Moisturizer

One of the biggest reasons skin loses its ability to bounce back is due to a lack of moisture. As a key wrinkle prevention strategy, apply a heavy-duty night cream and daily moisturizer with sunscreen. Using both formulas each day and night allows your epidermis to counteract some of the natural dehydration that occurs beneath the skin’s surface. Creams are absorbed into the skin, making facial movements less strenuous even though the skin isn’t as naturally elastic. Hydrating your skin with topical creams also helps reduce the appearance of fine lines. For the daytime, incorporate a broad-spectrum sunscreen that combats both UV-A and UV-B sun rays into your daily routine.

Essential Fats & Oils

Fat may get a bad reputation, but these macronutrients are essential – especially in wrinkle prevention. While overeating leads to excess fatty tissue buildup – particularly around the waist, hips and thighs – maintaining a balanced diet with healthy fats in mind is key. Monounsaturated fats, like those found in avocados, promote good cholesterol levels while lowering the bad lipoproteins (LDLs) which clog arteries and increase your risk of stroke or heart attack. If you’re looking for cooking alternatives without compromising taste or texture, coconut oil holds medium-chain fatty acids that are easy for the body to digest, meaning they are more difficult to store on your waistline. And, omega-3 rich foods like Salmon are essential to the diet because the human body doesn’t produce these acids on its own. Not only are fats and oils necessary for longevity and overall wellbeing, they keep your skin looking fresh. In 1929, a study by scientists George and Mildred Burr showed that rats who were on no-fat diets developed scaly and inflamed skin, showing more water loss than those that did not. Upon reintroducing essential fatty acids back into their diets, the rats’ skin ailments diminished. Therefore, keeping the “good” fats integrated into your diet, such as those found in coconut oil, avocados and fish, may help curb aging skin. Fish fatty acids also contain DHA and EPA, which helps protect the skin against radiation, helping to delay the aging process.

Cosmetic Procedures

Wrinkles, in some form, are inevitable. Our bodies are meant to age and even the most regimented routine won’t allow you to look 21 again. When aging progresses, topical treatments and dermal fillers can help. Dr. Mariano Busso, a highly-regarded and experienced Miami aesthetic dermatologist, offers numerous procedures to minimize wrinkles and fine lines. If you’re just getting started on wrinkle treatment, consider our microdermabrasion procedure that gently exfoliates damaged, tired cells off the skin’s surface to reveal a fresh layer of skin underneath. We also offer various dermal fillers, including Juvéderm Voluma, an FDA-approved injectable gel used to restore volume and smoothness on the face, neck, hands and chest. The results are instant and natural-looking, benefitting patients of all ages seeking a fuller and more youthful appearance.

Schedule with Dr. Busso

To schedule with Dr. Busso to discuss wrinkle concerns, the aging process and minimally invasive procedure that can help restore volume loss, reach us at 305-857-0144 or book your appointment online.

Restylane is one of the most common dermal fillers, intended to smooth wrinkles and other fine lines in the face and mouth. When aging becomes apparent in your appearance, you might be considering Restylane, an FDA-approved option, for your treatment. Because it is made of hyaluronic acid, a sugar molecule found in every living organism, Restylane provides biocompatibility to the existing tissue at the injection site. Patients can rest assured that Restylane is one of the healthiest, most natural dermal fillers on the market.

While totally safe, Restylane isn’t painless, illustrating how even the most advanced procedures can be minimally painful. While slight pain is common and expected during the injection, discomfort goes away in just a few days for most patients.

Restylane vs. Restylane Silk

Dr. Busso uses Restylane to treat issues in the following areas:

Upper and lower lips

Cheeks

Chin

Skin rejuvenation along hands, décolletage, face and neck

In cheek augmentation, Dr. Busso restores the natural life of cheekbones to target volume loss from aging and/or weight loss. In addition, Restylane is used to smooth out prominent veins and folds in the neck, face, hands and chest.

Aside from the face and neck, fillers can benefit the chest and cleavage areas to minimize wrinkles. When used in conjunction with laser resurfacing to improve skin texture, Restylane injected into the chest area allows for a lifted, more youthful appearance without invasive surgery like implants or breast augmentation.

New FDA-approved Restylane Silk can provide optimal results for combatting lip lines specifically. The hyaluronic acid component includes smaller, smoother particles to allow for a more precise, natural looking application in small areas like the lips.

For both Restylane and Restylane Silk, benefits typically last up to a year* and do not affect your ability to move your face naturally.

With over 18 years of experience in aesthetic and cosmetic dermatology, Dr. Busso provides unparalleled results with Restylane fillers for South Florida patients and beyond. To contact Dr. Busso regarding Restylane fillers, book an appointment online or call our Coconut Grove office at 205-857-0144.

It’s perfectly normal to have concerns regarding aesthetic procedures before seriously inquiring or booking an appointment. However, many of the products on the market today are tried, true and tested thoroughly, especially those which receive FDA clearance.

As an FDA-approved dermal filler, Restylane is one of the top choices among aesthetic dermatologists today. Restylane is made of bio-degradable, non-animal stabilized hyaluronic acid, a natural component found in all living organisms. In addition, Restylane is backed by extensive research and continues to be endorsed by millions of aesthetic professionals and patients alike. Most commonly, Restylane filler is used to combat wrinkles and fine lines on the neck, face and chest.

While the aging process can negatively impact your overall appearance, Restylane is a natural cosmetic injection to fight the less attractive indications of getting older. Restylane helps bolster volume in sagging skin, relieving individuals who are dissatisfied with the look of their skin. The procedure is often used to fight glabellar lines between the forehead and nasolabial folds, but can also be injected into the lips for a fuller pout.

Dr. Busso offers Restylane in the following procedures:

Facial contouring

Nose recontouring

Cheek augmentation

Neck rejuvenation

Hand rejuvenation

Ear lobe rejuvenation

Chest/cleavage rejuvenation

Patients over the age of 21 is a candidate for Restylane injections, should they be looking for an option to fight sagging or wrinkled skin. Restylane targets both moderate and severe wrinkles through sub-dermal injections.

While Restylane is a safe procedure, medical conditions may cause adverse reactions or interference with the procedure. In order to determine if Restylane is the best option for you personally, a consultation is required.

You may be wondering: Does lip filler hurt? Unlike other methods of lip augmentation, lip filler is a relatively simple outpatient procedure that requires just a little bit of local anesthetic. When administered by a professional, lip filler can help create fuller and more beautiful looking lips, and results typically last for several months*. Join acclaimed cosmetic dermatologist, Dr. Mariano Busso, for this special article on lip filler procedures, materials, and results.

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